IHCP will mass reprocess dental claims that may have denied incorrectly

IHCP will mass reprocess dental claims that may have denied
incorrectly

The Indiana Health Coverage Programs (IHCP) has identified a
claim-processing issue that affects fee-for-service dental claims
processed from November 22, 2017, through November 28, 2017. Claims
for Current Dental Terminology (CDT®1) codes processed
during this time frame may have inappropriately denied with
explanation of benefits (EOB) 4013 - This procedure is not
covered for this date of service.

The claim-processing system has been corrected. Claims processed
during the indicated time frame that previously denied for EOB 4013
will be mass reprocessed. Watch IHCP publications and
indianamedicaid.com for information about when mass reprocessing
will occur.

As a result of the system issue, the dental fees on the Professional Fee
Schedule at indianamedicaid.com were removed in error.
This issue will be corrected, and the dental fees will be available
on the fee schedule effective December 2, 2017.